Booking: Step 1

Step 1: Please fill out this questionnaire.

Step 2: Click "Take Me To Step 2" to be transferred to our Patient Portal where you must register/login & schedule an appointment time.

If the patient does not have OHIP, please call us.

Child Phone Appointment (under 18)

Who is booking this appointment on behalf of the child patient?

I am the PARENT booking for the child patient with my name/email

I am the CHILD patient booking for myself with my name/email

CHILD Health Card

PARENT First Name

PARENT Last Name

Home Address

Preferred Pharmacy Address

Prescriptions cannot be emailed to patients due to safety protocol.

Reason for Appointment

Phone Number for the Paediatrician to contact you at

ATTENTION: Your booking is not yet complete. Click "Take Me To Step 2" to be taken to our Patient Portal where you must register and schedule an appointment

Please register a Patient Portal account for yourself (with your own name, email, health card, birth date) even if you are booking for your child

Please check your spam folder for any emails from clinics@primacymedical.com and report them as "not spam."